Organization

Mz Professional Services, Inc.

Psychiatry Physician in Lauderhill, FL(View on Map)

Legal Business Name

Mz Professional Services, Inc.

NPI Number

1285932095

NPI Type

Organization

Enumeration Date

03/02/2011

Specialties

(Taxonomies)

Code

2084P0800X
2084P0804X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

ME54504

Contact
Information

Purpose

Mailing
Location

Address

1065 NE 125TH ST
7481 W. OAKLAND PARK BLVD.

City

North Miami
Lauderhill

State

FL
FL

Postal Code

33161-5821
33319-4985

Country

US
US

Telephone Number

(888) 852-6672
(888) 852-6672

Authorized Official

Name

Sohail Punjwani

Title or Position

CEO/PRESIDENT

Telephone Number

(719) 285-5121

Identifiers

Identifier

EX561A
370943400
09837W

Identifier State

FL
FL
FL

Identifier Issuer

MEDICARE PTAN FOR GROUP MZ PROFESSIONAL SERVICES, INC.
Unknown
MEDICARE PTAN INDIVIDUAL FOR MZ PROFESSIONAL SERVICES, INC

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/11/2011

Provider Address